Suicide behaviour among adolescents in a high HIV prevalence region of western Kenya: A mixed methods study
| Autor: | Stuart Rennie, Susannah Zietz, Bonita J. Iritani, Barrack Ongili, Winnie K. Luseno, Fredrick S. Odongo, Florence Anyango Otieno |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Adolescent HIV Infections Logistic regression Article Odds Suicidal Ideation 03 medical and health sciences Young Adult 0302 clinical medicine Pregnancy Risk Factors Environmental health Prevalence Medicine Humans 030212 general & internal medicine Risk factor Suicidal ideation Depression (differential diagnoses) 030505 public health business.industry Public Health Environmental and Occupational Health Mental health Kenya Suicide Cross-Sectional Studies Observational study Female medicine.symptom Rural area 0305 other medical science business |
| Zdroj: | Glob Public Health |
| Popis: | The study purpose was to determine the prevalence and determinants of suicidal thoughts and behaviours in a rural community sample of 15-19-year-old Kenyan adolescents in a region with high HIV burden. Data were from an observational study examining ethical issues in adolescent HIV research (N=4084). Participants reporting suicidal ideation were assessed for suicide risk. Directed content analyses were conducted using assessment reports. Logistic regression was used to identify factors associated with suicide outcomes. Prevalence of suicidal ideation was 16%. Of these, 38% were low risk and 12% were moderate/high-risk. Females and sexually active adolescents had higher odds of suicidal ideation and being categorised as moderate/high-risk. Adolescents with higher depression scores had higher odds of reporting ideation. Pregnancy was protective for females while impregnating a partner was a risk factor for males. Abuse from a family member, financial stress and health concerns were the most frequently mentioned precipitants of ideation. However, only abuse increased odds of suicide behaviour. Effective programmes to identify and support sexually active, pregnant, and distressed adolescents at risk for suicide are needed. Approaches involving families, schools, health facilities, and community gatekeepers may have the most promise in sub-Saharan African rural areas with limited mental health services. |
| Databáze: | OpenAIRE |
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